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Статті в журналах з теми "Mental illness Treatment Australia"
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Fitzpatrick, Scott J., Tonelle Handley, Nic Powell, Donna Read, Kerry J. Inder, David Perkins, and Bronwyn K. Brew. "Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation." PLOS ONE 16, no. 7 (July 21, 2021): e0245271. http://dx.doi.org/10.1371/journal.pone.0245271.
Повний текст джерелаАнотація:
Background Suicide rates are higher in rural Australia than in major cities, although the factors contributing to this are not well understood. This study highlights trends in suicide and examines the prevalence of mental health problems and service utilisation of non-Indigenous Australians by geographic remoteness in rural Australia. Methods A retrospective study of National Coronial Information System data of intentional self-harm deaths in rural New South Wales, Queensland, South Australia and Tasmania for 2010–2015 from the National Coronial Information System. Results There were 3163 closed cases of intentional self-harm deaths by non-Indigenous Australians for the period 2010–2015. The suicide rate of 12.7 deaths per 100,000 persons was 11% higher than the national Australian rate and increased with remoteness. Among people who died by suicide, up to 56% had a diagnosed mental illness, and a further 24% had undiagnosed symptoms. Reported diagnoses of mental illness decreased with remoteness, as did treatment for mental illness, particularly in men. The most reported diagnoses were mood disorders (70%), psychotic disorders (9%) and anxiety disorders (8%). In the six weeks before suicide, 22% of cases had visited any type of health service at least once, and 6% had visited two or more services. Medication alone accounted for 76% of all cases treated. Conclusions Higher suicide rates in rural areas, which increase with remoteness, may be attributable to decreasing diagnosis and treatment of mental disorders, particularly in men. Less availability of mental health specialists coupled with socio-demographic factors within more remote areas may contribute to lower mental health diagnoses and treatment. Despite an emphasis on improving health-seeking and service accessibility in rural Australia, research is needed to determine factors related to the under-utilisation of services and treatment by specific groups vulnerable to death by suicide.
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Peters, A. "Owning the brand of psychiatry." European Psychiatry 41, S1 (April 2017): S740. http://dx.doi.org/10.1016/j.eurpsy.2017.01.1362.
Повний текст джерелаАнотація:
In Australia and New Zealand, conversations around mental health are playing out in the public space with increasing frequency. Mental health promotion campaigns and organizations are embraced by mainstream and other forms of media, and supported by government. Whilst public knowledge of mental illness is increasing, the profile of psychiatrists as leaders and medical experts in mental illness is a more difficult brand to sell. With a somewhat tarnished history behind us, the modern evidence-based practice of psychiatry is not always at the forefront of public impression. Furthermore, in Australia, more than half of the population (56%) is unaware that psychiatrists have undertaken medical training as a doctor. This presentation will outline Royal Australian and New Zealand college of psychiatrists (RANZCP) action to improve community information about psychiatry, psychiatrists and treatment experiences.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Pearson, Mark. "Mental illness, journalism investigation and the law in Australia and New Zealand." Pacific Journalism Review : Te Koakoa 17, no. 1 (May 31, 2011): 90–101. http://dx.doi.org/10.24135/pjr.v17i1.373.
Повний текст джерелаАнотація:
Mental illness, its terminologies, definitions, voluntary and compulsory treatment regimes, and its interface with the criminal justice system are defined and regulated remarkably differently across the 10 Australian and New Zealand jurisdictions. This presents a legislative and policy nightmare for the investigative journalist attempting to explain the workings of the mental health system or follow a case, particularly if the individual’s life has taken them across state or national borders. This article considers the extent to which legal restrictions on identification and reportage of mental health cases in Australia and New Zealand inhibit the pursuit of ‘bloodhound journalism’—the persistent pursuit of a societal problem and those responsible for it. It recommends the development of resources assisting journalists to navigate the various mental health regulatory regimes. It also calls for the opening of courts and tribunals to greater scrutiny so that the public can be better educated about the people affected by mental illness and the processes involved in dealing with them, and better informed about the decisions that deprive their fellow citizens of their liberty.
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Khairi, Khairil Faizal, Mohamad Subini Abdul Samat, Nur Hidayah Laili, Hisham Sabri, Mohd Yazis Ali Basah, Asmaddy Haris, and Azrul Azlan Iskandar Mirza. "Takaful Protection for Mental Health Illness From the Perspective of Maqasid Shariah." International Journal of Financial Research 11, no. 3 (June 30, 2020): 168. http://dx.doi.org/10.5430/ijfr.v11n3p168.
Повний текст джерелаАнотація:
Mental health illness becomes one of the major illnesses in Malaysia aside from heart disease. It was recently reported that 29.2% of Malaysians are suffering from mental health illness which increases threefold from the previous year. Majority of the Malaysians suffering from mental health illness comes from the lowest income group. This shows that the lowest income group has less opportunity to seek treatment due to the cost. Even though other countries have started to offer mental health insurance such as the United States of America, United Kingdom, Australia and recently Singapore, Malaysia is still way behind in offering coverage for mental health illness. Therefore, the objective of this paper is to study the mental health takaful from the perspective of Maqasid shariah. The results from this study show that mental health takaful is able to meet the requirement of Maqasid shariah and preserve the benefits of, and prevent harm to human wellbeing. Furthermore, this study will provide an insight to the takaful industry for developing new products that could help mental health disorder patients.
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Mcgorry, Patrick. "‘Every Me and Every You’: Responding to the Hidden Challenge of Mental Illness in Australia." Australasian Psychiatry 13, no. 1 (March 2005): 3–15. http://dx.doi.org/10.1080/j.1440-1665.2004.02143.x.
Повний текст джерелаАнотація:
Objective: To show that mental illness affects everyone in society, describe some of the main obstacles to better outcomes, and build confidence that they can be overcome. Methods: A review and analysis of relevant evidence and experience combined with personal advocacy. Results: Mental illnesses are common and seriously under-treated, reform of the system of care has completely stalled, and insidious reinstitutionalization of the modernized system is occurring. A number of contributing factors and possible solutions are identified, including mental health literacy and advocacy campaigns, a focus on young people and early intervention, and functional reintegration of the treatment of mental and substance use disorders. Conclusions: A new wave of reform and major financial investment in the treatment of mental and substance use disorders is overdue. This can be best achieved by combining the evidence-based health care (EBHC) paradigm with a direct appeal to the self-interest of members of the general community. A National Institute of Mental Health and Addiction should be a key element of such reform, which must be a continuing process with substantially increased federal and State funding.
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Mueller-Stierlin, Annabel S., Sebastian Cornet, Anna Peisser, Selina Jaeckle, Jutta Lehle, Sabrina Moerkl, and Scott B. Teasdale. "Implications of Dietary Intake and Eating Behaviors for People with Serious Mental Illness: A Qualitative Study." Nutrients 14, no. 13 (June 24, 2022): 2616. http://dx.doi.org/10.3390/nu14132616.
Повний текст джерелаАнотація:
The impact of poor diet quality and nutritional inadequacies on mental health and mental illness has recently gained considerable attention in science. As the opinions and experiences of people living with serious mental illness on dietary issues are unknown, we aimed to understand the role of nutrition in a biopsychosocial approach. In total, 28 semi-structured interviews were conducted with people living with serious mental illness (SMI) in Australia, Germany and Austria, and a generic thematic analysis approach was applied. Four positive (positive effects on the body and mind, therapeutic effects in treating somatic illnesses, pleasure and opportunity for self-efficacy) and three negative (impairment related to mental illness and its treatment, perceived stigma and negative effects on the body and mind) implications of diet were identified. A key issue for most of the participants was the mental burden arising from their body weight. This might indicate that negative implications, such as guilt and stigma, were of primary importance for people with SMI when talking about their dietary behavior. In conclusion, diet-related support is urgently needed for people with SMI. However, especially participants from Germany and Austria reported that this is not yet widely available in mental health settings, leading to hopelessness and resignation.
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Carroll, Andrew, Jane Pickworth, and David Protheroe. "Service innovations: an Australian approach to community care – the Northern Crisis Assessment and Treatment Team." Psychiatric Bulletin 25, no. 11 (November 2001): 439–41. http://dx.doi.org/10.1192/pb.25.11.439.
Повний текст джерелаАнотація:
The recent White paper, Modernising Mental Health Services, recommended the provision of home treatment teams for acute mental illness (Department of Health, 1998). Such services are not widespread in the UK and have been the subject of recent debate (Smyth et al, 2000). In Australia, multi-disciplinary teams providing 24–hour community assessment and treatment of psychiatric emergencies have been in place now for over a decade, and form the cornerstone of the public mental health service.
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Harris, Anthony WF, Tanya Kosic, Jean Xu, Chris Walker, William Gye, and Antoinette Redoblado Hodge. "Web-Based Cognitive Remediation Improves Supported Employment Outcomes in Severe Mental Illness: Randomized Controlled Trial." JMIR Mental Health 4, no. 3 (September 20, 2017): e30. http://dx.doi.org/10.2196/mental.6982.
Повний текст джерелаАнотація:
Background Finding work is a top priority for most people; however, this goal remains out of reach for the majority of individuals with a severe mental illness (SMI) who remain on benefits or are unemployed. Supported employment (SE) programs aimed at returning people with a severe mental illness to work are successful; however, they still leave a significant number of people with severe mental illness unemployed. Cognitive deficits are commonly found in SMI and are a powerful predictor of poor outcome. Fortunately, these deficits are amenable to treatment with cognitive remediation therapy (CRT) that significantly improves cognition in SMI. CRT combined with SE significantly increases the likelihood of individuals with severe mental illness obtaining and staying in work. However, the availability of CRT is limited in many settings. Objective The aim of this study was to examine whether Web-based CRT combined with a SE program can improve the rate return to work of people with severe mental illness. Methods A total of 86 people with severe mental illness (mean age 39.6 years; male: n=55) who were unemployed and who had joined a SE program were randomized to either a Web-based CRT program (CogRem) or an Internet-based control condition (WebInfo). Primary outcome measured was hours worked over 6 months post treatment. Results At 6 months, those participants randomized to CogRem had worked significantly more hours (P=.01) and had earned significantly more money (P=.03) than those participants randomized to the WebInfo control condition. No change was observed in cognition. Conclusions This study corroborates other work that has found a synergistic effect of combining CRT with a SE program and extends this to the use of Web-based CRT. The lack of any improvement in cognition obscures the mechanism by which an improved wage outcome for participants randomized to the active treatment was achieved. However, the study substantially lowers the barrier to the deployment of CRT with other psychosocial interventions for severe mental illness. Trial Registration Australian and New Zealand Clinical Trials Registry (ANZCTR) 12611000849998; http://www.anzctr.org.au/TrialSearch.aspx?searchTxt=12611000849998&isBasic=True (Archived by WebCite at http://www.webcitation.org/6sMKwpeos)
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Bibb, Jennifer. "The role of music therapy in Australian mental health services and the need for increased access to service users." Australasian Psychiatry 29, no. 4 (January 5, 2021): 439–41. http://dx.doi.org/10.1177/1039856220980255.
Повний текст джерелаАнотація:
Objectives: This opinion paper aims to provide an overview of the current evidence base supporting the use of music therapy in mental health care. It also aims to offer critique on the issue of access to music therapy in Australia. Conclusions: There is a strong evidence base for music therapy to provide symptomatic relief and improve quality of life for people living with mental illness. However, music therapy is underfunded and framed as a supplementary service within mental health services in Australia, which limits its access to consumers. Funding music therapy as an evidence-based treatment option would fill an existing service gap and provide equitable access to a cost-effective and often consumer preferred treatment option for mental health consumers.
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Walter, Garry, and Joseph M. Rey. "The Relevance of Herbal Treatments for Psychiatric Practice." Australian & New Zealand Journal of Psychiatry 33, no. 4 (August 1999): 482–89. http://dx.doi.org/10.1080/j.1440-1614.1999.00568.x.
Повний текст джерелаАнотація:
Objective: The aim of this paper is to inform psychiatrists about the basic priniciples, terminology, schools of thought, efficacy, safety and regulatory issues regarding herbal treatments for mental illness. Method: Information was obtained by computerised and manual searching of medical and botanical data bases, and by discussions with experts in herbal medicine and regulatory aspects of the pharmaceutical industry. Results: Herbal medicines are commonly used in developed and developing countries for psychiatric illness. The main schools of herbal medicine in Australia are Western herbal medicine, traditional Chinese medicine and ‘Ayurveda’ (Indian herbal medicine). Herbs used for psychiatric or neurological disorders are termed ‘nervines’. Three nervines which have attracted considerable attention recently are St John's Wort, Gingko biloba and Valeriana officinalis. In Australia, most herbal drugs are classed as ‘listed drugs’ which are required to satisfy less rigorous safety and efficacy criteria than ‘registered drugs’. The popularity of herbal remedies has a number of clinical and research implications for psychiatry. Conclusions: Psychiatrists should not endorse treatments that are unsupported by sound research, nor remain ignorant about alternative approaches to mental illness. The extent of use of herbal treatments for mental illness suggests that psychiatrists should become more knowledgeable about developments in this area.
Дисертації з теми "Mental illness Treatment Australia"
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Bridge, Laurie. "Contributing Factors of Substance Abuse: Mental Illness, Mental Illness Treatment andHealth Insurance." Youngstown State University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1516979553258238.
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Sia, Lavina Si Xuan. "Suboptimal sleep among persons with a mental illness in Australia." Thesis, Sia, Lavina Si Xuan (2019) Suboptimal sleep among persons with a mental illness in Australia. Masters by Coursework thesis, Murdoch University, 2019. https://researchrepository.murdoch.edu.au/id/eprint/60869/.
Повний текст джерелаАнотація:
Background: Persons with a mental illness commonly report experiencing suboptimal sleep and several sociodemographic factors have been shown to be associated with suboptimal sleep. However, there is a lack of research exploring these in a representative sample of Australian adults, especially those with a mental illness. The present study aimed to (i) describe the prevalence of suboptimal sleep in a representative sample of Australian adults, categorised according to recently published sleep duration and quality guidelines (Hirshkowitz et al., 2015; Ohayon et al., 2017), and whether prevalence rates varied between persons with and without a mental illness; and (ii) examine associations between suboptimal sleep and sociodemographic factors and explore variations in such, according to mental health status.
Method: A cross-sectional study was done using data from the National Social Survey (n = 1265) with a representative sample of Australian adults. Multivariable logistic regression analyses were used to investigate associations between various sociodemographic factors and suboptimal sleep parameters.
Results: Findings showed that suboptimal sleep, in both duration and quality, affects a considerable proportion of Australian adults (5%-20%), and a significantly higher proportion of those with a mental illness (6%-39%). Consistent with previous research, sociodemographic characteristics associated with a greater likelihood of suboptimal sleep in persons without a mental illness include age, gender, marital status, employment, educational attainment, and Aboriginal and/or Torres Strait Islander status. For persons with a mental illness, males (OR = 3.82; p < 0.001), adults aged 18 to 65 (aged 18-24: OR =12.15, p < 0.05; aged 24-65: OR = 3.00; p < 0.001), and individuals with an unpaid employment (OR = 3.75; p < 0.05), were more likely to report experiencing suboptimal sleep.
Conclusion: Understanding the prevalence of suboptimal sleep and sociodemographic variables associated with suboptimal sleep in persons with a mental illness can have both broader public health and clinical implications for assessment, screening and early intervention of subgroups that are more likely to report suboptimal sleep, given the bidirectional relationship between sleep and mental health.
Keywords: Sleep; Prevalence rates; Mental illness; Sociodemographic characteristics
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Horn, Assar. "Low dose lithium treatment in patients with mental illness." Thesis, Örebro universitet, Institutionen för medicinska vetenskaper, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-66798.
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Nevarez, Natalie. "TREATMENT OF MENTAL ILLNESS CO-OCCURRING WITH INTELLECTUAL DISABILITIES." CSUSB ScholarWorks, 2016. https://scholarworks.lib.csusb.edu/etd/357.
Повний текст джерелаАнотація:
Past literature has showed that there have been several misdiagnosis of mental illness due to client’s delays in speech or introspection caused by an intellectual disability. It is believed that the intellectual disability is either interfering with the proper mental health diagnosis or a mental health diagnosis is unnecessarily being added to an intellectual disability. The study used a qualitative design that asked four psychiatrists on how they are treating their clients with an intellectual disability in addition to their mental illness. The interview guide asks about the difficulty in diagnosing individuals with a mental illness and a co-occurring intellectual disability. The proportion of clients also having an intellectual disability and co-occurring mental illness ranged from 5 to 20%. The problems that psychiatrists are running into are the fact that patients are not being correctly diagnosed before the age of 18 and are not able to get the resources that are needed, such as Inland Regional services.
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Mashamaite, Phuti Granny. "An exploration of the treatment of mental illness by indigenous healers in Moletjie, Capricorn District, Limpopo Province." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1533.
Повний текст джерелаАнотація:
Thesis (M. A. (Clinical Psychology)) -- University of Limpopo, 2015Culture affects the way people conceptualise and make meaning in their daily experiences, and in turn influence their decisions to seek solutions to their predicaments. Therefore the definition, causes and treatment of illnesses appear to be perceived in a socio-cultural context. A qualitative study was conducted among the indigenous healers of Moletjie (Capricorn District), Limpopo Province, (South Africa) to explore the treatment of mental illness. Indigenous healers were selected using the purposive sampling after the African Religion/ Culture & Health Forum was consulted and the names of indigenous healers who are members were obtained. 5 males and 5 females were interviewed. Data were collected using semi-structured interviews and analyzed using the content analysis method. The following psychological themes emerged from the study: indigenous healers’ notions of mental illness; perceived causes of mental illness; the process of assessment using the divination bones (ditaola); general treatment practices; treatment approaches to psychotic patients; continuous assessment during the treatment process; constant observation of patients during the treatment process; and, treatment procedures that are executed on discharge of the patient. The findings revealed that there are multiple causalities of mental illness and were accounted for by African traditional beliefs. The study revealed that 90% of the indigenous healers admit patients in their homestead during the healing process but the duration differs. The results further revealed that there are two major treatment modalities employed: namely, the use of herbs and ritual performance. The findings emphasize that treatment of mental illness is mainly determined by the perceived causes which emanate from cultural ideologies.
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Endrawes, Gihane, University of Western Sydney, College of Social and Health Sciences, and of Nursing Family and Community Health School. "Egyptian families caring for a relative with mental illness in Australia." THESIS_CSHS_NFC_Endrawes_G.xml, 2003. http://handle.uws.edu.au:8081/1959.7/713.
Повний текст джерелаАнотація:
The meaning of caregiving for a relative with mental illness has been explored in many research studies: however, there is a lack of studies on the caregiving experience within the Egyptian culture. This study aimed at getting closer to Egyptian families caring for a relative with mental illness in Australia in order to reveal how these families live and cope with mental illness, their attitudes, their beliefs and practices and how the experience affected them. Qualitative hermeneutic phenomenology informed by the work of Heidegger was used. Seven participants from Egyptian background, caring for a relative with mental illness participated and all interviews were audio-taped. Interviews were conducted in the Arabic language and were then translated and transcribed into English. All interviews were compared and five common themes were identified. Why did it happen?: How do I protect my loved ones?: What has it done to me?: What has it done to us?: and How do I survive? Findings of the study have the potential to raise health care professionals’ awareness of the needs of Egyptian families, their beliefs, values and coping with mental illness. Strengths and limitations of the study are also presented to inform future researchDoctor of Philosophy (PhD)
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Ngobe, Anastasia Julia. "Swati traditional healers'conceptualisation of causes and treatment of mental illness." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1281.
Повний текст джерелаАнотація:
Thesis (M.A. (Psychology)) --University of Limpopo, 2015The role of indigenous healers in managing various conditions of ill-health has been studied and debated. Studies have revealed that the majority of the population in South Africa use traditional health care to treat various mental conditions. Studies have also revealed that traditional medicine plays an important role in primary health care in many countries. The aim of the study was to explore Swati traditional healers’ conceptualization of the causes and treatment methods of mental illness in Kanyamazane Township in Mpumalanga Province, South Africa. A phenomenological research method was used in the present study. Ten (10) traditional healers, six (6) female and four (4) male, who were selected through purposive sampling method participated in the study. Semi structured personal interviews were conducted with the traditional healers. The interviews were conducted in siSwati and later translated to English. The main themes that emerged were grouped under the following 3 main topics: conceptualisation and types of mental illness; causes of mental illness; and, treatment of mental illness. The traditional healers identified and described a number of mental illnesses that could be identified by their behavioural symptoms and thought disruptions. These include: depressive conditions, addictions, psychotic illnesses, adjustment disorders and genetic mental illnesses. Mental illness was perceived to be caused by a number of factors that, among others, include the following: supernatural powers such as witchcraft, spirit possession, intrusion of objects, evil mechanisation, improper use of traditional medicine, disregarding ancestors and cultural customs as well invitation by ancestors to become a traditional healer, substance abuse, genetic predisposition, life stressors, social conditions, and injuries to the head, Cleansing the patient of evil spirits through washing, steaming, induced vomiting, casting out evil and herbal medication were some of the methods that were found to be commonly used to treat mental illness. The study found that the theory underlying traditional healing is essentially similar, and that traditional healers utilise a culturally coherent and holistic approach in dealing with health and illness.
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Ngobe, A. J. "Swati traditional healers'conceptualisation of causes and treatment of mental illness." Thesis, University of Limpopo, 2015. http://hdl.handle.net/10386/1348.
Повний текст джерелаАнотація:
Thesis ( M.A. (Psychology)) --University of Limpopo, 2015The role of indigenous healers in managing various conditions of ill-health has been studied and debated. Studies have revealed that the majority of the population in South Africa use traditional health care to treat various mental conditions. Studies have also revealed that traditional medicine plays an important role in primary health care in many countries. The aim of the study was to explore Swati traditional healers’ conceptualization of the causes and treatment methods of mental illness in Kanyamazane Township in Mpumalanga Province, South Africa. A phenomenological research method was used in the present study. Ten (10) traditional healers, six (6) female and four (4) male, who were selected through purposive sampling method participated in the study. Semi structured personal interviews were conducted with the traditional healers. The interviews were conducted in siSwati and later translated to English. The main themes that emerged were grouped under the following 3 main topics: conceptualisation and types of mental illness; causes of mental illness; and, treatment of mental illness. The traditional healers identified and described a number of mental illnesses that could be identified by their behavioural symptoms and thought disruptions. These include: depressive conditions, addictions, psychotic illnesses, adjustment disorders and genetic mental illnesses. Mental illness was perceived to be caused by a number of factors that, among others, include the following: supernatural powers such as witchcraft, spirit possession, intrusion of objects, evil mechanisation, improper use of traditional medicine, disregarding ancestors and cultural customs as well invitation by ancestors to become a traditional healer, substance abuse, genetic predisposition, life stressors, social conditions, and injuries to the head, Cleansing the patient of evil spirits through washing, steaming, induced vomiting, casting out evil and herbal medication were some of the methods that were found to be commonly used to treat mental illness. The study found that the theory underlying traditional healing is essentially similar, and that traditional healers utilise a culturally coherent and holistic approach in dealing with health and illness.
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Haruna, Mohammed Awaisu. "Managing the treatment of mental illness in a Nigerian hospital." Thesis, Lancaster University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.337582.
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Starkey, Thomas Wayne Jr. "Retirees' Attitudes Toward Mental Illness Treatment: A Life-Course Perspective." Thesis, University of North Texas, 2010. https://digital.library.unt.edu/ark:/67531/metadc28479/.
Повний текст джерелаАнотація:
This purpose of this dissertation was to examine the attitudes of retirees toward mental illness treatment. Secondary data from the Survey Research Center at the University of North Texas was utilized for this study. The focus was on the influence that gender, income, education, race/ethnicity, personal experience, fear, goodwill, and social control might have had on retirees' attitudes toward mental illness treatment. An n = 225 was selected out of the existing data to serve as the sample population. Binary logistic regression was utilized to analyze the data. Results indicated that the obtained significant findings were consistent with existing literature.
Книги з теми "Mental illness Treatment Australia"
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Daly, Robert J., and E. Alfred Sand, eds. Psychological Treatment of Mental Illness. Berlin, Heidelberg: Springer Berlin Heidelberg, 1987. http://dx.doi.org/10.1007/978-3-642-72540-1.
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Cawte, John. The last of the lunatics. Carlton, Vic: Melbourne University Press, 1998.
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Espejo, Roman. Mental illness. Detroit: Greenhaven Press, 2012.
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Electroshock: Healing mental illness. New York: Oxford University Press, 2003.
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Palmer, Ivanka. Gain control of mental illness. Melbourne, Vic: Brolga Publishing, 2007.
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Castle, Matthew. Acute psychiatry. Edinburgh: Churchill Livingstone/Elsevier, 2007.
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Mental illness: Heal yourself. Eugene, OR: BBCS, 1994.
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Vladimir, Lerner, and Miodownik Chanoch, eds. New hope for mental disturbances. Hauppauge, NY: Nova Science Publishers, 2009.
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Practical psychoanalysis for therapists and patients. New York: Other Press, 2006.
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Lefley, Harriet P. Family psychoeducation for serious mental illness. New York: Oxford University Press, 2009.
Знайти повний текст джерелаЧастини книг з теми "Mental illness Treatment Australia"
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Minas, Harry. "Mental Health in Multicultural Australia." In Mental Health, Mental Illness and Migration, 135–64. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-10-2366-8_10.
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Robertson, Michael. "Mental Illness: Treatment of." In Encyclopedia of Global Bioethics, 1–11. Cham: Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-05544-2_290-1.
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Annamalai, Aniyizhai, and Maya Prabhu. "Treatment of Mental Illness." In Refugee Health Care, 173–80. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4939-0271-2_13.
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Mendiola Iparraguirre, Andrea, Maya Prabhu, and Aniyizhai Annamalai. "Treatment of Mental Illness." In Refugee Health Care, 229–40. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-47668-7_15.
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Robertson, Michael. "Mental Illness: Treatment of." In Encyclopedia of Global Bioethics, 1900–1909. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-09483-0_290.
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Haynes, Emma. "Barriers to Treatment." In Motherhood and Mental Illness, 78–90. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003154891-9.
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Minas, Harry. "Mental Health in Multicultural Australia." In Mental Health and Illness in Migration, 1–30. Singapore: Springer Singapore, 2018. http://dx.doi.org/10.1007/978-981-10-0750-7_10-1.
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Guest, Paul C. "Progress for Better Treatment of Depression." In Biomarkers and Mental Illness, 63–77. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-46088-8_5.
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Haynes, Emma. "Conventional Treatment of Maternal Mental Illness." In Motherhood and Mental Illness, 179–84. London: Routledge, 2022. http://dx.doi.org/10.4324/9781003154891-19.
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McGurk, Susan R., and Kim T. Mueser. "Vocational Rehabilitation for Severe Mental Illness." In Treatment–Refractory Schizophrenia, 165–77. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-45257-4_11.
Повний текст джерелаТези доповідей конференцій з теми "Mental illness Treatment Australia"
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Wardani, Arista Kusuma. "Interprofessional Collaboration on Mental Health: A Scoping Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.26.
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ABSTRACT Background: The increasing prevalence rate of mental illness due to demographic changes became the burden of disease in primary health care. Effective interprofessional collaboration strategies are required to improve professional welfare and quality of care. Interdisciplinary teamwork plays an important role in the treatment of chronic care, including mental illness. This scoping review aimed to investigate the benefit and barrier of interprofessional collaboration approach to mental health care. Subjects and Method: A scoping review method was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, ScienceDirect, and Willey Online library databases. The inclusion criteria were English-language, full-text, and free access articles published between 2010 and 2020. The data were reported by the PRISMA flow chart. Results: A total of 316 articles obtained from the search databases, in which 263 articles unmet the inclusion criteria and 53 duplicates were excluded. Based on the selected seven articles, one article from a developed country (Malaysia), and six articles from developing countries (Australia, Canada, Belgium, Norway) with quantitative (cross-sectional, surveillance) and qualitative study designs. The reviewed findings were benefit and barrier of interprofessional collaboration on mental health. Benefits included improve quality of care, increase job satisfaction, improve patient health status, increase staff satisfaction, increase performance motivation among employees, as well as shorter duration of treatment and lower cost. Barriers included hierarchy culture, lack of resources, lack of time, poor communication, and inadequate training. Conclusion: Interprofessional teamwork and collaboration have been considered an essential solution for effective mental health care. Keywords: interprofessional collaboration, benefit, barrier, mental health Correspondence: Arista Kusuma Wardani. Universitas ‘Aisyiyah Yogyakarta. Jl. Siliwangi (Ring Road Barat) No. 63 Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta, 55292. Email: wardanikusuma1313@gmail.com. Mobile: +6281805204773 DOI: https://doi.org/10.26911/the7thicph.04.26
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Raven, Melissa. "24 Untreated mental illness: ideology trumps evidence, fuelling overdiagnosis." In Preventing Overdiagnosis Abstracts, December 2019, Sydney, Australia. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjebm-2019-pod.38.
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Wu, Jiahua. "Mental Illness and Mass Shootings: A Quantitative Treatment of Risk Factors and Mitigation Strategies." In 2021 International Conference on Public Art and Human Development ( ICPAHD 2021). Paris, France: Atlantis Press, 2022. http://dx.doi.org/10.2991/assehr.k.220110.191.
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Corbin, George, Nora Dale, Aatmika Deshpande, Katherine Korngiebel, Paige Krablin, Emma Wilt, Loreto Peter Alonzi, Neal Goodloe, Michael Smith, and K. Preston White. "Evaluating Administered Differences of Brief Jail Mental Health Screener and Impacts of Diagnoses & Treatment of Linked Inmates with Severe Mental Illness." In 2022 Systems and Information Engineering Design Symposium (SIEDS). IEEE, 2022. http://dx.doi.org/10.1109/sieds55548.2022.9799360.
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"PS-121 - PREGNANCY AND DUAL DIAGNOSIS: IS THERE ANYTHING NEW?" In 24 CONGRESO DE LA SOCIEDAD ESPAÑOLA DE PATOLOGÍA DUAL. SEPD, 2022. http://dx.doi.org/10.17579/abstractbooksepd2022.ps121.
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1. Objectives: To assess the impact of the pregnancy on dual-diagnosed women. 2. Material and methods: Non-systematic review of the literature, through research on PubMed database with the keywords “dual diagnosis”, “pregnancy” and “mental illness”. 3. Results and conclusions: Dual diagnosis refers to the co-occurrence of a mental illness and substance abuse. The mean age of diagnosis for both mental illnesses and substance abuse on women is between 25 and 34 years old, which coincides with the period when women are most likely to be pregnant. One of the existent barriers on this topic is the lack of knowledge on the part of care providers as to the difficulties and treatment needs of the dual diagnosis client, with resultant anxiety and confusion about how to intervene, the efficacy of treatments, and especially how to balance the needs of the mother and fetus. The studies on this area show that patients with a substance abuse disorder or dual diagnosis had a high-risk pregnancy and less prenatal care than those with a mental illness alone, being schizophrenia the most frequent psychiatric diagnosis. For women who are dually diagnosed, the risks inherent in each disorder are combined with the potential for greater negative impact on pregnancy and the newborn.The risks of poor prenatal care, obstetric complications, and psychosocial difficulties increase and each disorder may exacerbate the other. Early identification and treatment of psychiatric disorders in pregnancy can prevent morbidity in pregnancy and postpartum with the concomitant risks to mother and baby.
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Khaled, Salma, Peter Haddad, Majid Al-Abdulla, Tarek Bellaj, Yousri Marzouk, Youssef Hasan, Ibrahim Al-Kaabi, et al. "Qatar - Longitudinal Assessment of Mental Health in Pandemics (Q-LAMP)." In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0287.
Повний текст джерелаАнотація:
Aims: Q-LAMP aims to identify risk factors and resilience factors for symptoms of psychiatric illness during the pandemic. Study strengths include the 1-year longitudinal design and the use of standardized instruments already available in English and Arabic. The results will increase understanding of the impact of the pandemic on mental health for better support of the population during the pandemic and in future epidemics. Until an effective vaccine is available or herd immunity is achieved, countries are likely to encounter repeated ‘waves’ of infection. The identification of at-risk groups for mental illness will inform the planning and delivery of individualized treatment including primary prevention. Methodology: Longitudinal online survey; SMS-based recruitment and social media platforms advertisements e.g. Facebook, Instagram; Online consent; Completion time for questionnaires: approx. 20 to 30 minute; Baseline questionnaire with follow up at 3, 6, 9 and 12 months; Study completion date: Sept. 2021. Inclusion criteria: Currently living in Qatar; Qatari residents: citizens and expatriates; Age 18 years; read Arabic or English (questionnaire and consent form available in both languages). Instruments: Sociodemographic questionnaire including personal and family experience of COVID-19 infection; Standard instruments to assess psychiatric morbidity including depression, anxiety and PTSD; research team-designed instruments to assess social impact of pandemic; standard questionnaires to assess resilience, personality, loneliness, religious beliefs and social networks. Results: The analysis was based on 181 observations. Approximately, 3.5% of the sample was from the sms-recruitment method. The sample of completed surveys consisted of 65.0% females and 35.0% males. Qatari respondents comprised 27.0% of the total sample, while 52% of the sample were married, 25% had Grade 12 or lower level of educational attainment, and 46.0% were unemployed. Covid-19 appears to have affected different aspects of people’s lives from personal health to living arrangements, employment, and health of family and friends. Approximately, 41% to 55% of those who responded to the survey perceived changes in their stress levels, mental health, and loneliness to be worse than before the pandemic. Additionally, the wide availability of information about the pandemic on the internet and social media was perceived as source of pandemic-related worries among members of the public. Conclusion: The continued provision of mental health service and educational campaigns about effective stress and mental health management is warranted.
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Gorelov, K. "О РАБОТЕ С «ПСИХОТЕРАПЕВТИЧЕСКИМИ РАССКАЗАМИ» В ПСИХОТЕРАПЕВТИЧЕСКОМ МЕТОДЕ ТЕРАПИИ ТВОРЧЕСКИМ САМОВЫРАЖЕНИЕМ М.Е.БУРНО (ТТСБ)". У ПЕРВЫЙ МЕЖКОНТИНЕНТАЛЬНЫЙ ЭКСТЕРРИТОРИАЛЬНЫЙ КОНГРЕСС «ПЛАНЕТА ПСИХОТЕРАПИИ 2022: ДЕТИ. СЕМЬЯ. ОБЩЕСТВО. БУДУЩЕЕ». Crossref, 2022. http://dx.doi.org/10.54775/ppl.2022.76.17.001.
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This article describes the process of using “psychotherapeutic stories” based on the principles of Therapy by Means of Creative Self-Expression by M. Burno (TCSEB). This method can be used for psychoprophylaxis, psychotherapy and psychosocial rehabilitation of healthy people with temporary mental issues, patients with transient mental disorders and patients with chronic mental illness. As a result of such treatment natural protective and adaptive mechanisms are activated, the psychological state and quality of life are improved. В данной статье описывается процесс использования «психотерапевтических историй», основанных на принципах «Терапии средствами творческого самовыражения» М. Бурно (ТКСЭБ). Этот метод может быть использован для психопрофилактики, психотерапии и психосоциальной реабилитации здоровых людей с преходящими психическими расстройствами, больных с преходящими психическими расстройствами и больных с хроническими психическими заболеваниями. В результате такого лечения активизируются естественные защитные и адаптационные механизмы, улучшается психологическое состояние и качество жизни.
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Iakovleva, Maria, Olga Shchelkova, and Ekaterina Usmanova. "QUALITY OF LIFE OF PATIENTS UNDERGOING SURGICAL TREATMENT OF LOWER LIMB CANCER." In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact021.
Повний текст джерелаАнотація:
"Patients suffering from oncological diseases are the focus of attention of both physicians and psychologists. Although tumor lesions of bones and soft tissues are a relatively rare condition, its effect on the person’ mind and lifestyle are significant, and its treatment is a challenge, also in terms of patient’s adaptation to the disease and therapy. There are various strategies for treating this pathology; all of them are associated with high-tech medicine focused on maintaining or improving patients’ quality of life (QoL). The aim of the present research is to study the psychological characteristics and QoL of patients undergoing surgical treatment of tumor lesions of bones and soft tissues of lower limbs. Material and methods. 36 patients were examined (mean age 58,22; 19 – men). The SF-36 questionnaire, Ways of Coping Questionnaire (WCQ), and Big Five Personality Test (BFI) were used. Treatment by means of the isolated limb perfusion technique was prescribed to 15 patients (group 1); 21 patients were subjected to lower limb amputation due to their disease (group 2). Results. It was found that patients who underwent amputation are characterized by lower rates on the coping scale ‘accepting responsibility’ than patients from the perfusion group (p < 0.05); at the same time, patients from the second group had higher values on the ‘openness’ scale of the BFI compared to the first group (p < 0.1). The study of the relationship between patients’ QoL parameters, personality and coping showed that in the first group the values on the coping scale ‘seeking social support’ negatively correlate with ‘bodily pain’ (p < 0.01), and ‘escape–avoidance’ negatively correlates with ‘social functioning’ (p < 0.01). In the second group, the following significant correlations between personality traits and QoL were revealed: ‘extraversion’ is positively associated with ‘physical functioning’, ‘role-emotional’ and ‘mental health’ (p < 0.01), ‘agreeableness’ has a negative correlation with ‘bodily pain’ and ‘general health’ (p < 0.01), ‘neuroticism’ is negatively related with ‘bodily pain’ and ‘general health’ (p < 0.01), ‘openness’ is positively associated with ‘bodily pain’ and ‘general health’ (p < 0.01). Conclusion. The data obtained emphasizes the importance of taking into account personality characteristics in the management of patients with cancer, including tumor lesions of the bones and soft tissues, as well as the dynamic nature of QoL and its close interconnection with the stage and strategy of treatment and patients’ personality. Psychological support for patients is required for their successful adaptation to the illness and therapy. Acknowledgement. This research was supported by the Russian Foundation for Basic Research (RFBR) (Grant No 20-013-00573)."
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Clayton Abreu da Silva, Nadyson, Heloisa Landin Gomes, Cristiane Brasil Francisco, Elisabete Landim Gomes Siqueira, Mariana Manhães do Amaral Peixoto, and Maurício Rocha Calomeni. "The Efficiency of an online physical exercises program in elderly lifestyle on COVID-19 pandemic." In 7th International Congress on Scientific Knowledge. Biológicas & Saúde, 2021. http://dx.doi.org/10.25242/8868113820212383.
Повний текст джерелаАнотація:
The moderate and periodic practice of physical exercise promotes cell protection against viral infection due the balance between cellular immune response, determined directly by T lymphocytes, and humoral cells in which specific antibodies participate, produced by mature B lymphocytes. The countries members of the United Nations Organization (UNO) approved the Aging International Action Plan (AIAP) where are proposed strategies to support the prevention of mental disorders, the treatment of aged illness, as well the strengthening of a care network and support to aged people with the participation of the family, volunteers, and community. Following the UNO tendency, Campos dos Goytacazes/RJ governance started the 60+ health project developed by the superintendence of the Elderly's Rights under to the active and healthy aging for promotion of an active lifestyle to aged population. Given the above, the study goal was to verify the effectiveness of physical exercises proposed virtually on the individual lifestyle of aged people. 458 individuals of both sexes, with age above 60 years were introduced in the study. 356 aged people participated in the physical exercises program, and 102 non-participated in the virtual activities. As a data collection device was used the Individual lifestyle profile questionnaire known as wellness pentacle, a conceptual basis for the evaluation of lifestyle of individuals or groups. Videos with physical exercises proposed were uploading to the Youtube platform, and also directly sent to aged people on social isolation imposed by COVID-19, from app messages. In front of the found results, it is possible to claim that the practice of physical activity with online guidance and prescription impacted positively in the aged people's quality of life inserted on 60+ health project making evident the importance of physical activity practice during the COVID-19 pandemic.
Звіти організацій з теми "Mental illness Treatment Australia"
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Cuddy, Emily, and Janet Currie. Rules vs. Discretion: Treatment of Mental Illness in U.S. Adolescents. Cambridge, MA: National Bureau of Economic Research, October 2020. http://dx.doi.org/10.3386/w27890.
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Madu, Laura, Jacqueline Sharp, and Bobby Bellflower. Efficacy of Integrating CBT for Mental Health Care into Substance Abuse Treatment in Patients with Comorbid Disorders of Substance Abuse and Mental Illness. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0004.
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Abstract: Multiple studies have found that psychiatric disorders, like mood disorders and substance use disorders, are highly comorbid among adults with either disorder. Integrated treatment refers to the treatment of two or more conditions and the use of multiple therapies such as the combination of psychotherapy and pharmacotherapy. Integrated therapy for comorbidity per numerous studies has consistently been superior to the treatment of individual disorders separately. The purpose of this QI project was to identify the effectiveness of Cognitive Behavioral Therapy (CBT) instead of current treatment as usual for treating Substance Use Disorder (SUD) or mental health diagnosis independently. It is a retrospective chart review. The review examines CBT's efficacy for engaging individuals with co-occurring mood and substance u se disorders in treatment by enhancing adherence and preventing disengagement and relapse. Methods: Forty adults aged 26-55 with a DSM-IV diagnosis of a mood disorder of Major Depressive Disorder and/or anxiety and concurrent substance use disorder (at least weekly use in the past month). Participants received 12 sessions of individual integrated CBT treatment delivered with case management over a 12-week period. Results: The intervention was associated with significant improvements in mood disorder, substance use, and coping skills at 4, 8, and 12 weeks post-treatment. Conclusions: These results provide some evidence for the effectiveness of the integrated CBT intervention in individuals with co-occurring disorders. Of note, all psychotherapies are efficacious; however, it would be more advantageous to develop a standardized CBT that identifies variables that facilitate treatment outcomes specifically to comorbid disorders of substance use and mood disorders. It is concluded that there is potentially more to be gained from further studies using randomized controlled designs to determine its efficacy.
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Li, De-Kun, Jeannette Ferber, Roxana Odouli, Tracy Flanagan, Lyndsay Avalos, Mason Turner, and Charles Quesenberry. Effects of Maternal Depression and Its Treatment on Infant Health in Pregnant Women, With or Without Other Mental Illness. Patient-Centered Outcomes Research Institute® (PCORI), March 2020. http://dx.doi.org/10.25302/03.2020.ce.13046721.
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Viswanathan, Meera, Jennifer Cook Middleton, Alison Stuebe, Nancy Berkman, Alison N. Goulding, Skyler McLaurin-Jiang, Andrea B. Dotson, et al. Maternal, Fetal, and Child Outcomes of Mental Health Treatments in Women: A Systematic Review of Perinatal Pharmacologic Interventions. Agency for Healthcare Research and Quality (AHRQ), April 2021. http://dx.doi.org/10.23970/ahrqepccer236.
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Background. Untreated maternal mental health disorders can have devastating sequelae for the mother and child. For women who are currently or planning to become pregnant or are breastfeeding, a critical question is whether the benefits of treating psychiatric illness with pharmacologic interventions outweigh the harms for mother and child. Methods. We conducted a systematic review to assess the benefits and harms of pharmacologic interventions compared with placebo, no treatment, or other pharmacologic interventions for pregnant and postpartum women with mental health disorders. We searched four databases and other sources for evidence available from inception through June 5, 2020 and surveilled the literature through March 2, 2021; dually screened the results; and analyzed eligible studies. We included studies of pregnant, postpartum, or reproductive-age women with a new or preexisting diagnosis of a mental health disorder treated with pharmacotherapy; we excluded psychotherapy. Eligible comparators included women with the disorder but no pharmacotherapy or women who discontinued the pharmacotherapy before pregnancy. Results. A total of 164 studies (168 articles) met eligibility criteria. Brexanolone for depression onset in the third trimester or in the postpartum period probably improves depressive symptoms at 30 days (least square mean difference in the Hamilton Rating Scale for Depression, -2.6; p=0.02; N=209) when compared with placebo. Sertraline for postpartum depression may improve response (calculated relative risk [RR], 2.24; 95% confidence interval [CI], 0.95 to 5.24; N=36), remission (calculated RR, 2.51; 95% CI, 0.94 to 6.70; N=36), and depressive symptoms (p-values ranging from 0.01 to 0.05) when compared with placebo. Discontinuing use of mood stabilizers during pregnancy may increase recurrence (adjusted hazard ratio [AHR], 2.2; 95% CI, 1.2 to 4.2; N=89) and reduce time to recurrence of mood disorders (2 vs. 28 weeks, AHR, 12.1; 95% CI, 1.6 to 91; N=26) for bipolar disorder when compared with continued use. Brexanolone for depression onset in the third trimester or in the postpartum period may increase the risk of sedation or somnolence, leading to dose interruption or reduction when compared with placebo (5% vs. 0%). More than 95 percent of studies reporting on harms were observational in design and unable to fully account for confounding. These studies suggested some associations between benzodiazepine exposure before conception and ectopic pregnancy; between specific antidepressants during pregnancy and adverse maternal outcomes such as postpartum hemorrhage, preeclampsia, and spontaneous abortion, and child outcomes such as respiratory issues, low Apgar scores, persistent pulmonary hypertension of the newborn, depression in children, and autism spectrum disorder; between quetiapine or olanzapine and gestational diabetes; and between benzodiazepine and neonatal intensive care admissions. Causality cannot be inferred from these studies. We found insufficient evidence on benefits and harms from comparative effectiveness studies, with one exception: one study suggested a higher risk of overall congenital anomalies (adjusted RR [ARR], 1.85; 95% CI, 1.23 to 2.78; N=2,608) and cardiac anomalies (ARR, 2.25; 95% CI, 1.17 to 4.34; N=2,608) for lithium compared with lamotrigine during first- trimester exposure. Conclusions. Few studies have been conducted in pregnant and postpartum women on the benefits of pharmacotherapy; many studies report on harms but are of low quality. The limited evidence available is consistent with some benefit, and some studies suggested increased adverse events. However, because these studies could not rule out underlying disease severity as the cause of the association, the causal link between the exposure and adverse events is unclear. Patients and clinicians need to make an informed, collaborative decision on treatment choices.
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McKenna, Patrick, and Mark Evans. Emergency Relief and complex service delivery: Towards better outcomes. Queensland University of Technology, June 2021. http://dx.doi.org/10.5204/rep.eprints.211133.
Повний текст джерелаАнотація:
Emergency Relief (ER) is a Department of Social Services (DSS) funded program, delivered by 197 community organisations (ER Providers) across Australia, to assist people facing a financial crisis with financial/material aid and referrals to other support programs. ER has been playing this important role in Australian communities since 1979. Without ER, more people living in Australia who experience a financial crisis might face further harm such as crippling debt or homelessness. The Emergency Relief National Coordination Group (NCG) was established in April 2020 at the start of the COVID-19 pandemic to advise the Minister for Families and Social Services on the implementation of ER. To inform its advice to the Minister, the NCG partnered with the Institute for Governance at the University of Canberra to conduct research to understand the issues and challenges faced by ER Providers and Service Users in local contexts across Australia. The research involved a desktop review of the existing literature on ER service provision, a large survey which all Commonwealth ER Providers were invited to participate in (and 122 responses were received), interviews with a purposive sample of 18 ER Providers, and the development of a program logic and theory of change for the Commonwealth ER program to assess progress. The surveys and interviews focussed on ER Provider perceptions of the strengths, weaknesses, future challenges, and areas of improvement for current ER provision. The trend of increasing case complexity, the effectiveness of ER service delivery models in achieving outcomes for Service Users, and the significance of volunteering in the sector were investigated. Separately, an evaluation of the performance of the NCG was conducted and a summary of the evaluation is provided as an appendix to this report. Several themes emerged from the review of the existing literature such as service delivery shortcomings in dealing with case complexity, the effectiveness of case management, and repeat requests for service. Interviews with ER workers and Service Users found that an uplift in workforce capability was required to deal with increasing case complexity, leading to recommendations for more training and service standards. Several service evaluations found that ER delivered with case management led to high Service User satisfaction, played an integral role in transforming the lives of people with complex needs, and lowered repeat requests for service. A large longitudinal quantitative study revealed that more time spent with participants substantially decreased the number of repeat requests for service; and, given that repeat requests for service can be an indicator of entrenched poverty, not accessing further services is likely to suggest improvement. The interviews identified the main strengths of ER to be the rapid response and flexible use of funds to stabilise crisis situations and connect people to other supports through strong local networks. Service Users trusted the system because of these strengths, and ER was often an access point to holistic support. There were three main weaknesses identified. First, funding contracts were too short and did not cover the full costs of the program—in particular, case management for complex cases. Second, many Service Users were dependent on ER which was inconsistent with the definition and intent of the program. Third, there was inconsistency in the level of service received by Service Users in different geographic locations. These weaknesses can be improved upon with a joined-up approach featuring co-design and collaborative governance, leading to the successful commissioning of social services. The survey confirmed that volunteers were significant for ER, making up 92% of all workers and 51% of all hours worked in respondent ER programs. Of the 122 respondents, volunteers amounted to 554 full-time equivalents, a contribution valued at $39.4 million. In total there were 8,316 volunteers working in the 122 respondent ER programs. The sector can support and upskill these volunteers (and employees in addition) by developing scalable training solutions such as online training modules, updating ER service standards, and engaging in collaborative learning arrangements where large and small ER Providers share resources. More engagement with peak bodies such as Volunteering Australia might also assist the sector to improve the focus on volunteer engagement. Integrated services achieve better outcomes for complex ER cases—97% of survey respondents either agreed or strongly agreed this was the case. The research identified the dimensions of service integration most relevant to ER Providers to be case management, referrals, the breadth of services offered internally, co-location with interrelated service providers, an established network of support, workforce capability, and Service User engagement. Providers can individually focus on increasing the level of service integration for their ER program to improve their ability to deal with complex cases, which are clearly on the rise. At the system level, a more joined-up approach can also improve service integration across Australia. The key dimensions of this finding are discussed next in more detail. Case management is key for achieving Service User outcomes for complex cases—89% of survey respondents either agreed or strongly agreed this was the case. Interviewees most frequently said they would provide more case management if they could change their service model. Case management allows for more time spent with the Service User, follow up with referral partners, and a higher level of expertise in service delivery to support complex cases. Of course, it is a costly model and not currently funded for all Service Users through ER. Where case management is not available as part of ER, it might be available through a related service that is part of a network of support. Where possible, ER Providers should facilitate access to case management for Service Users who would benefit. At a system level, ER models with a greater component of case management could be implemented as test cases. Referral systems are also key for achieving Service User outcomes, which is reflected in the ER Program Logic presented on page 31. The survey and interview data show that referrals within an integrated service (internal) or in a service hub (co-located) are most effective. Where this is not possible, warm referrals within a trusted network of support are more effective than cold referrals leading to higher take-up and beneficial Service User outcomes. However, cold referrals are most common, pointing to a weakness in ER referral systems. This is because ER Providers do not operate or co-locate with interrelated services in many cases, nor do they have the case management capacity to provide warm referrals in many other cases. For mental illness support, which interviewees identified as one of the most difficult issues to deal with, ER Providers offer an integrated service only 23% of the time, warm referrals 34% of the time, and cold referrals 43% of the time. A focus on referral systems at the individual ER Provider level, and system level through a joined-up approach, might lead to better outcomes for Service Users. The program logic and theory of change for ER have been documented with input from the research findings and included in Section 4.3 on page 31. These show that ER helps people facing a financial crisis to meet their immediate needs, avoid further harm, and access a path to recovery. The research demonstrates that ER is fundamental to supporting vulnerable people in Australia and should therefore continue to be funded by government.
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Understanding Eating Disorders. ACAMH, January 2022. http://dx.doi.org/10.13056/acamh.18865.
Повний текст джерелаАнотація:
Around 1.25 million people in the UK suffer from eating disorders. These disorders can cause serious harm, both physically and emotionally, and they have the highest mortality rate of any mental illness. Early diagnosis, intervention and treatment is critical.